Identification and structure of factors for the implementation of innovative nursing skills in nursing practice

2023 Fiscal Year Final Research Report

• Project/Area Number: 20K10689
• Research Category: Grant-in-Aid for Scientific Research (C)
• Allocation Type: Multi-year Fund
• Section: 一般
• Review Section: Basic Section 58050:Fundamental of nursing-related
• Research Institution: Kanagawa University of Human Services
• Principal Investigator: Sasaki Kyoko 神奈川県立保健福祉大学, 保健福祉学部, 講師 (10793325)
• Co-Investigator(Kenkyū-buntansha): 桑本 暢子 (大久保暢子) 聖路加国際大学, 大学院看護学研究科, 教授 (20327977)
• Project Period (FY): 2020-04-01 – 2024-03-31
• Keywords: 持続可能性 / イノベーション / 看護技術 / 普及と実装科学 / EBI / EBP

Outline of Final Research Achievements

This study defined "nursing innovation" as a nursing skills with a clear evidence and clinical benefits, and "sustainability" as the process of continuing and sustaining the benefits of a nursing innovation after efforts to introduce it have been completed. We sought to identify the factors that influence sustainability and the relationships among these factors, and to provide a basis for strategies to increase sustainability.
A quantitative cross-sectional descriptive study was conducted in an acute care hospital for the Sitting Position without Back Support. Factors influencing sustainability in individuals and the ward as a whole were identified, as well as associations among factors. Clarified the roles of implementation leaders/staff and nurse managers and suggested strategies to promote sustainability.

Free Research Field

実装科学　看護技術

Academic Significance and Societal Importance of the Research Achievements

これまでの普及や実装に関する先行研究は、導入・採用時のプロセスに着目し、その要因を明らかにする研究が中心であった。導入後の継続プロセスを持続可能性とし、持続可能性とその影響要因の関連と構造を明らかにし、最も影響する要因・要因間の関連を明らかにした本研究は新規性に富む研究である。
本研究の成果をもとに、導入早期から持続可能性を見据えた方略を実践することで、看護イノベーションが提供され続け、患者の安全性・生存率向上や患者・家族・看護師自身の満足度の向上、ヘルスケアコスト削減に影響を及ぼすと考える。